Individual
MS. ILDA MARIA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3687 VETERANS DR, FORT HARRISON, MT 59636-9700
(406) 447-7790
(406) 447-7995
Mailing address
719 N EWING ST, HELENA, MT 59601-3606
(406) 442-8478
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-31372
MT
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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